RONALD KIZZIAR (MD) – Diagnostic Radiology Physician, NPI 1316924046

RONALD KIZZIAR (MD) is a healthcare provider. based in Portland, Oregon. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD21310 (OR). The NPI Number for RONALD KIZZIAR (MD) is 1316924046

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
RONALD KIZZIAR (MD)
NPI
1316924046
Phone
(503) 731-2904
Address
545 NE 47TH AVE
Enumeration Date
23 December 2005
Last Update Date
18 November 2010

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8323554112
Graduation Year
1997 (29 years ago)
PAC ID
9830185917
Group Practice PAC ID
6305731118
Professional Enrollment ID
I20050709000065
Address ID
WA980872214LY4706XSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

532 DIAGNOSTIC RADIOLOGY in OR

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Provider Addresses for RONALD KIZZIAR (MD)

  • 545, Northeast 47th Avenue, North Tabor, Portland, Metro, Multnomah County, Oregon, 97213, United States

    SUITE 215

    PORTLAND, OR 972132238

    Phone: (503) 731-2904

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040423000224IDiagnostic RadiologyORTBD
I20050709000065IDiagnostic RadiologyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70450Ct scan head or brain without contrast430411$0
71045X-ray of chest, 1 view247229$0
70553Mri scan of brain before and after contrast163146$0
71046X-ray of chest, 2 views149148$0
70551Mri scan of brain without contrast123121$0
View full utilization report →

Insurance plans in this area (ZIP 97213)

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Provider's Procedures

RONALD KIZZIAR (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOR74177CT scan of abdomen and pelvis with contrast2222

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305731118View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyLA
Diagnostic RadiologyTX
Diagnostic RadiologyGA
Diagnostic RadiologyTX
-TX
Interventional Cardiology, Diagnostic RadiologyTX
Diagnostic RadiologyTX
-TX
Diagnostic RadiologyTX
Interventional Radiology, Diagnostic RadiologyPA

Reviews

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Frequently asked questions

Can I verify RONALD KIZZIAR (MD) with an NPI only?
You can start verification with NPI 1316924046 for RONALD KIZZIAR (MD), then check state licensing separately.
Is RONALD KIZZIAR (MD) listed as active for patients and plans?
The listing shows RONALD KIZZIAR (MD) as active in the NPI system.
What taxonomy line describes RONALD KIZZIAR (MD)?
For research purposes, treat RONALD KIZZIAR (MD) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is RONALD KIZZIAR (MD) based?
RONALD KIZZIAR (MD) is tied to Portland, Oregon in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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